Official websites use. Share sensitive information only on official, secure websites. Staphylococcus lugdunensis , originally identified in , is a coagulase negative staphylococcus CNS that has become a significant human pathogen. It has been found as a source of skin and soft tissue infection, endocarditis, urogenital tract infection, joint infection, and meningeal infection. Rarely, it manifests as scrotal infections or complications. Correct identification of the bacterial organism and prompt treatment is crucial in these cases, as delayed intervention can lead to complications requiring orchiectomy.
We describe a rare case of a young male who presented with scrotal pain and swelling and was found to have epididymo-orchitis with scrotal pyocele on imaging. He underwent scrotal exploration with incision and drainage and did not require an orchiectomy. Wound cultures grew S. To our knowledge, this is the first reported case of scrotal abscess and epididymo-orchitis with pyocele formation caused by S.
Keywords: Staphylococcus lugdunensis , Coagulase negative staphylococcus, Scrotal pyocele, Epididymo-orchitis, Soft tissue infections, Orchiectomy. Epididymo-orchitis with scrotal pyocele is most commonly caused by sexually transmitted infections and genito-urinary infections. Neisseria gonorrhea , Chlamydia trachomatis and Escherichia coli are the most common causative microorganisms [ 1 ].
Staphylococcus lugdunensis is a normal flora in the inguinal and perineal region and is known to cause skin and soft tissue infections [ 2 ]. However, it is rarely found to be a cause of scrotal infections or its complications. In such cases, it is imperative to correctly identify this microorganism and initiate prompt treatment to avoid delayed interventions that can eventually lead to orchiectomy.
We present the first reported case of scrotal abscess and epididymo-orchitis with pyocele formation caused by S. A year-old homosexual male presented to the emergency department at an outlying facility with a three-day history of progressively worsening scrotal pain and swelling after he tried to squeeze a boil located on his right upper scrotum.
